Evidence map›Paper›PMID 20444568›Full record

Trial reportPatient education and counseling2011

Aspects of mental health communication skills training that predict parent and child outcomes in pediatric primary care.

Lawrence Wissow, Anne Gadomski, Debra Roter, Susan Larson, Barry Lewis, Jonathan Brown

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Primary Care Practitioner Training in Child and Adolescent Psychiatry (PTCAP): A Cluster-Randomized Trial.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020
    Trial
  3. Trial
  4. Article
  5. Article
  6. Communication Training withinJournal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. A Study Protocol for the "Practitioner Training in Child and Adolescent Psychiatry" Cluster-randomized Pilot Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2018
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Integrating Children's Mental Health into Primary Care.Pediatric clinics of North America · 2016
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Lawrence WissowDepartment of Health, Behavior, and Society, Johns Hopkins School of Public Health, 624 North Broadway, Baltimore, MD 21205, USA. lwissow@jhsph.edu
Anne Gadomski
Debra Roter
Susan Larson
Barry Lewis
Jonathan Brown
Johns Hopkins University · USBassett Medical Center · USHealth Education North West · GBMathematica Policy Research · US

Funding

Trial of psychosocial training for pediatric generalistsR01MH062469 · NIMH · JOHNS HOPKINS UNIVERSITY · PI WISSOW, LAWRENCE S. · 2002 to 2005
$2.0M
Recognition and management of youth mental health needsF31MH075531 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BROWN, JONATHAN D. · 2005 to 2006
$56k
NIMH NIH HHS F31 MH075531NIMH NIH HHS F31MH75531NIMH NIH HHS R01 MH062469NIMH NIH HHS R01MH62469
6 · The paper itself

Abstract

objectiveTraining in communication can change clinician behaviors, but brief training may function by altering attitudes rather than teaching new skills. We used data from a trial of mental health training for office-based primary care to determine indicators of uptake that predicted parent and child outcomes.

methodsClinicians (n=50) were randomized to be controls or receive training. Uptake was determined comparing pre- and post-training visits with standardized patients (SPs) coded for skills and patient centeredness. Clinical outcomes were assessed by recruiting and following 403 children/youth ages 5-16 making visits to participants. At 6 months, change in mental health was assessed by parent and youth reports using the Strengths and Difficulties Questionnaire.

resultsTrained clinicians used more agenda setting, time, and anger management skills than controls and showed increased patient centeredness toward SP parents, but not adolescents. Increased patient-centeredness toward parents predicted improvement in child/youth symptoms and functioning (rated by parents), and improvement in youth-rated symptoms. Increased skills alone were not associated with improvement, but patients of clinicians above the mean for both skill and patient-centeredness change improved most.

Indexed as

CommunicationCommunity Mental Health ServicesMental HealthPhysician-Patient RelationsAdolescentAttitude of Health PersonnelChildChild, PreschoolClinical CompetenceConfidence IntervalsDistrict of ColumbiaEducational MeasurementEducational StatusFemaleHealth Care SurveysHumans

Identifiers

PMID20444568
PMCPMC2947561
OpenAlexW2078287860

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.